MEDICARE: FOX FAMILY DENTAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1134590961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOX FAMILY DENTAL LLC

Provider Business Mailing Address
First Line	:	832 N KINGSHIGHWAY ST
Second Line	:
City	:	CAPE GIRARDEAU
State	:	MO
Zip	:	63701-4316
Country	:	US
Telephone Number	:	573-334-8431
Fax Number	:	573-334-7631

Provider Business Practice Location Address
First Line	:	832 N KINGSHIGHWAY ST
Second Line	:
City	:	CAPE GIRARDEAU
State	:	MO
Zip	:	63701-4316
Country	:	US
Telephone Number	:	573-334-8431
Fax Number	:	573-334-7631

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	AMBER L NEWCOMB
Credential	:	RDH
Telephone Number	:	573-334-8431

Provider Enumeration Date	:	10/20/2015
Last Update Date	:	10/20/2015

Similar Medicare Providers

1457353740 — DR. ROBERT G. FOX D.D.S.
Practice Location Address:

832 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO
63701-4316

Practice Phone: 573-334-8431
Practice Fax: 573-334-7631

1700991742 — CRAIN AND CARMAN INC
Practice Location Address:

864 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO
63701-4316

Practice Phone: 573-334-4761
Practice Fax: 573-334-6695

1891014189 — DR. JAMES L FOX D.D.S.
Practice Location Address:

832 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO
63701-4316

Practice Phone: 573-334-8431
Practice Fax: 573-334-7631

1043161094 — FONDNESS CARE LLC
Practice Location Address:

338 BROADWAY ST STE 434
CAPE GIRARDEAU, MO
63701-7367

Practice Phone: 573-271-6952
Practice Fax:

1659376234 — DR. ROBERT ELVIE PERRY M.D.
Practice Location Address:

1701 LACEY ST
CAPE GIRARDEAU, MO
63701-5230

Practice Phone: 573-331-6353
Practice Fax: 573-331-6378

1891791059 — KAREN YATES M.D.
Practice Location Address:

1413 N MOUNT AUBURN RD
CAPE GIRARDEAU, MO
63701-2171

Practice Phone: 573-335-5120
Practice Fax: 573-335-5119

Directions to “FOX FAMILY DENTAL LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.